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Successful treatment of ophthalmomyiasis interna posterior with ivermectin
Katia E Taba1, John A Vanchiere, A Scott Kavanaugh
1From the *Department of Ophthalmology; and †Department of Pediatrics Infectious Diseases, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
Purpose:
To report the first successful medical treatment of ophthalmomyiasis interna posterior without associated surgical treatment.
Method:
Interventional case report. The patient is an 11-year-old boy with panuveitis and neuroretinitis associated with a pathognomonic presentation of ophthalmomyiasis interna posterior in which the larva could not be identified. The patient received medical treatment with a single oral dose of ivermectin of 200 mg/kg followed by systemic steroid therapy without associated surgical extraction of the larva via pars plana vitrectomy or laser photocoagulation.
Results:
Anterior and posterior uveitis resolution, reversal of neuroretinitis, and visual acuity improvement.
Conclusion:
Medical treatment with ivermectin can be considered as primary therapeutic modality in ophthalmomyiasis interna posterior.
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